Milestones for autonomous in vivo microrobots in medical applications

3D-printed microrobots from design to translation

Microrobots have attracted the attention of scientists owing to their unique features to accomplish tasks in hard-to-reach sites in the human body. Microrobots can be precisely actuated and maneuvered individually or in a swarm for cargo delivery, sampling, surgery, and imaging applications. In addition, microrobots have found applications in the environmental sector (e.g., water treatment). Besides, recent advancements of three-dimensional (3D) printers have enabled the high-resolution fabrication of microrobots with a faster design-production turnaround time for users with limited micromanufacturing skills. Here, the latest end applications of 3D printed microrobots are reviewed (ranging from environmental to biomedical applications) along with a brief discussion over the feasible actuation methods (e.g., on- and off-board), and practical 3D printing technologies for microrobot fabrication. In addition, as a future perspective, we discussed the potential advantages of integration of microrobots with smart materials, and conceivable benefits of implementation of artificial intelligence (AI), as well as physical intelligence (PI). Moreover, in order to facilitate bench-to-bedside translation of microrobots, current challenges impeding clinical translation of microrobots are elaborated, including entry obstacles (e.g., immune system attacks) and cumbersome standard test procedures to ensure biocompatibility.

Microbots have attracted attention due to an ability to reach places and perform tasks which are not possible with conventional techniques in a wide range of applications. Here, the authors review the recent work in the field on the fabrication, application and actuation of 3D printed microbots offering a view of the direction of future microbot research.

Modeling and Control of IPMC-Based Artificial Eukaryotic Flagellum Swimming Robot: Distributed Actuation

Ionic polymer-metal composites (IPMCs) are electrically driven materials that undergo bending deformations in the presence of relatively low external voltages, exhibiting a great potential as actuators in applications in soft robotics, microrobotics, and bioengineering, among others. This paper presents an artificial eukaryotic flagellum (AEF) swimming robot made up of IPMC segments for the study of planar wave generation for robot propulsion by single and distributed actuation, i.e., considering the first flagellum link as an actuator or all of them, respectively. The robot comprises three independent and electrically isolated actuators, manufactured over the same 10 mm long IPMC sheet. For control purposes, a dynamic model of the robot is firstly obtained through its frequency response, acquired by experimentally measuring the flagellum tip deflection thanks to an optical laser meter. In particular, two structures are considered for such a model, consisting of a non-integer order integrator in series with a resonant system of both non-integer and integer order. Secondly, the identified models are analyzed and it is concluded that the tip displacement of each actuator or any IPMC point is characterized by the same dynamics, which remains unchanged through the link with mere variations of the gain for low-frequency applications. Based on these results, a controller robust to gain variations is tuned to control link deflection regardless of link length and enabling the implementation of a distributed actuation with the same controller design. Finally, the deflection of each link is analyzed to determine whether an AEF swimming robot based on IPMC is capable of generating a planar wave motion by distributed actuation.

Executive summary of the artificial intelligence in surgery series

As opportunities for artificial intelligence to augment surgical care expand, the accompanying surge in published literature has generated both substantial enthusiasm and grave concern regarding the safety and efficacy of artificial intelligence in surgery. For surgeons and surgical data scientists, it is increasingly important to understand the state-of-the-art, recognize knowledge and technology gaps, and critically evaluate the deluge of literature accordingly. This article summarizes the experiences and perspectives of a global, multi-disciplinary group of experts who have faced development and implementation challenges, overcome them, and produced incipient evidence thereof. Collectively, evidence suggests that artificial intelligence has the potential to augment surgeons via decision-support, technical skill assessment, and the semi-autonomous performance of tasks ranging from resource allocation to patching foregut defects. Most applications remain in preclinical phases. As technologies and their implementations improve and positive evidence accumulates, surgeons will face professional imperatives to lead the safe, effective clinical implementation of artificial intelligence in surgery. Substantial challenges remain; recent progress in using artificial intelligence to achieve performance advantages in surgery suggests that remaining challenges can and will be overcome.